| NPI | 1932344058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A054216) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 65557) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |