| NPI | 1356413066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME105380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A98035) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-04-08 |