| NPI | 1871661694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A36190) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 45376) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-04-11 |