| NPI | 1831159375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA C50492) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PR 8312) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |