| NPI | 1457319543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 31497) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD041534) |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: DC MD041534) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-12-30 |