| NPI | 1760452452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME97822) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A75730) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2018-06-19 |