| NPI | 1528114931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD154255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD A86871) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD154255) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-10-17 |