| NPI | 1144317934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD27396) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2003014187) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-02-04 |