| NPI | 1124122809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D65067) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD428013) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-01-09 |