| NPI | 1689607145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 053036) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA a75296) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |