| NPI | 1053566778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC TRAINING) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 261259) |
| 207L00000X Anesthesiology (Licence: DC MD045186) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2017-08-17 |