| NPI | 1851391940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C41949) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G5335) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2011-10-06 |