| NPI | 1447321179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60151767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A101167) |
| 207R00000X Internal Medicine (Licence: WA MD60151767) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60151767) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD60151767) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-01-13 |