| NPI | 1437121225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G88529) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00042989) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2014-10-30 |