| NPI | 1265646707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD038468) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101246711) |
| 207L00000X Anesthesiology (Licence: MD D70033) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-12-02 |