| NPI | 1255593406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 16369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD160514) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-01-06 |