| NPI | 1609191493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 50489) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A120783) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-08-19 |