| NPI | 1508060161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A119202) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-18508) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-03-01 |