| NPI | 1467688259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-40853) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-8673) |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2022-07-21 |