| NPI | 1528077328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME131983) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD15993) |
| 207L00000X Anesthesiology (Licence: MD D0046844) | |
| 207L00000X Anesthesiology (Licence: CA G56037) | |
| 207L00000X Anesthesiology (Licence: NC 18735) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-05-08 |