| NPI | 1578874046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SD 11959) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-41730) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-06-03 |