| NPI | 1497715486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 159147) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0101026) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-11-12 |