| NPI | 1376554261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A85510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI E07448) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-01-14 |