| NPI | 1144759176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD210003180) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A172066) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2023-08-04 |