| NPI | 1326281825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 70017) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A107258) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2013-07-10 |