| NPI | 1568566750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A106936) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA ML20008018) |
| 207L00000X Anesthesiology (Licence: WA MD00047851) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-09-30 |