| NPI | 1447287156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G58589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G58589) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |