| NPI | 1275541898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD205879) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 031602) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-11-03 |