| NPI | 1922012137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD154153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A86997) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-10-16 |