| NPI | 1578585618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95302) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA f4899) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A95302) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-02-15 |