| NPI | 1891854584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A106440) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 235162) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-04-17 |