| NPI | 1538455456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A122588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248614) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-08-26 |