| NPI | 1467424051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD15226) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD d30103) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-10-17 |