| NPI | 1306888359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A68132) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 250000785) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-07-08 |