| NPI | 1245260777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H71370) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 2124) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-01-18 |