| NPI | 1669448361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A48896) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID M-9972) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-07-16 |