| NPI | 1194864132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D72234) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D72234) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-03-23 |