| NPI | 1295944908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA R7599) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-38336) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-06-03 |