| NPI | 1174724652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD27389) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 57258) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-06-26 |