| NPI | 1598102725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2022-1551) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD181282) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-10-14 |