| NPI | 1427055052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-01213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0059716) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-09-19 |