| NPI | 1477877173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 15807) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A117621) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2015-10-09 |