| NPI | 1346345030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A31009) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 47054) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-06-14 |