| NPI | 1841220084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2006-00975) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A83299) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-13 |