| NPI | 1467601500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A101297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a101297) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2013-04-12 |