| NPI | 1891821542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A103992) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-228666) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-06-04 |