| NPI | 1093784803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D42622) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD423862) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-12-27 |