| NPI | 1194700708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D47952) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 48058) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-07-11 |