| NPI | 1497992796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD16833) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD16833) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-11-09 |