| NPI | 1487864971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D65717) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD d65717) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-07-29 |