| NPI | 1457338501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 18642) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.37963) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2019-08-13 |