| NPI | 1881857340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A110116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI 5548) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2014-04-02 |