| NPI | 1033253000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.202249) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D66026) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-03-17 |