| NPI | 1669504296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD14147) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A90527) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-09 |