| NPI | 1235363797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD167558) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA pending) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-10-18 |