| NPI | 1285900803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D84891) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD176069) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-09-27 |