| NPI | 1699934133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A129751) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-236498) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-04-22 |