| NPI | 1962459453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A93725) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101233517) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-02-01 |