| NPI | 1780799114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD29027) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87730) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-01-06 |