| NPI | 1760463442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 42198) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A82307) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-06-30 |