| NPI | 1841202223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257433) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A80584) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-12-30 |