| NPI | 1467424101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD MD065687L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD065687L) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-04-07 |