| NPI | 1205002144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 244116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D73971) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2019-04-12 |