| NPI | 1306801824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D54897) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD23614) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-12-04 |