| NPI | 1336253400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301071500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A55733) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-05-12 |