| NPI | 1376515320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0062771) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD035075) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-05-20 |