| NPI | 1285618157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G50369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 31154) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2019-07-17 |