| NPI | 1467530576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G61216) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G61216) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-07-31 |