| NPI | 1609845676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 27718) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G36810) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |