| NPI | 1285734988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G25121) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-9731) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-03-09 |