| NPI | 1508807108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G59567) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G59567) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-08-13 |