| NPI | 1922338151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A111661) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 40834) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2015-04-08 |