| NPI | 1508199118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA TR60086019) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA TR60086019) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2011-05-16 |