| NPI | 1467809129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0091576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P32553) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-06-11 |