| NPI | 1184608515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101241233) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0057815) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-11-05 |