| NPI | 1033470315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD181436) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0070691) |
| 207L00000X Anesthesiology (Licence: PA MT201974) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-10-08 |