| NPI | 1528138559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A77675) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME84884) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-04-12 |