| NPI | 1013160274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD191272) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 13095) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2019-07-11 |