| NPI | 1154353399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD154531) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 213447) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-10-18 |