| NPI | 1346328846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A93449) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0052438) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-10-09 |