| NPI | 1497870091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A89627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID M-12119) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-07-30 |