| NPI | 1417996703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2012-00775) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D43978) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-09-23 |