| NPI | 1114380409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD048443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101286947) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2025-09-05 |