| NPI | 1982895009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A114204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-233706) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-10-22 |