| NPI | 1356439111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD27169) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G58664) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-06-13 |