| NPI | 1043239940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D36756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD035939) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-09-03 |