| NPI | 1497016653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A141009) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 17201) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-03-17 |