| NPI | 1386669679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 15604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME93090) |
| 207L00000X Anesthesiology (Licence: CA A109461) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-01-01 |