| NPI | 1841453321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A 121175) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 265864) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2014-09-05 |