| NPI | 1295994689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A97168) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2010-0729) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2010-0729) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A97168) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-02-07 |