| NPI | 1265829477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2022-00974) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0087093) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2024-09-23 |