| NPI | 1528177276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A112448) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20008574) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-08-03 |