| NPI | 1306821228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G63319) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A837800) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-12-17 |