| NPI | 1851580294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A128334) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 21083) |
| 207L00000X Anesthesiology (Licence: NC 01381) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2018-12-31 |