| NPI | 1407897226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD21485) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G62586) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-03-27 |