| NPI | 1285682278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C138023) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 41519) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-10-04 |