| NPI | 1346212651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D58212) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD417816) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-08-25 |