| NPI | 1417068115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 58606) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD034253) |
| 207L00000X Anesthesiology (Licence: PA MD428012) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-11 |