| NPI | 1386842003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD041865) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D72351) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2014-10-06 |