| NPI | 1316927593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD d0076789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD044414) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2020-02-09 |