| NPI | 1750426094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G71553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G71553) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-04-30 |