| NPI | 1245447317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0073043) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101242807) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-10-27 |