| NPI | 1871552364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A52971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 14725) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2017-03-20 |