| NPI | 1811057912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A10288) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO1078) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-03-29 |