| NPI | 1265584718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD10797) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD10797) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |