| NPI | 1235392572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD22310) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 235648) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-08-07 |