| NPI | 1093739849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD 0064270) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD036036) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-06-01 |