| NPI | 1366514002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD20226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D46628) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-02-28 |