| NPI | 1295933752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD28146) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 628L) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-02-04 |