| NPI | 1184678237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101056816) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D50639) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-10-27 |