| NPI | 1669673687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A105353) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57009241) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-09-30 |