| NPI | 1144256132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK MEDS3156) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0060912) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-06-09 |