| NPI | 1245670066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2017-00958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD192423) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-11-07 |