| NPI | 1730293085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A148031) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301101712) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-03-17 |