| NPI | 1346560737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 48501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A118209) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2018-09-07 |