| NPI | 1598925877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A13258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013389A) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-02-22 |