| NPI | 1235427600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D93940) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E8968) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-03-30 |