| NPI | 1093781205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101058758) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD21071) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-07-16 |