| NPI | 1316995681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD215045) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 30366) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-06-14 |