| NPI | 1366426678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 28442) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G48871) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2015-10-23 |