| NPI | 1437250404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO MD R6A02) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 12005) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-01-13 |