| NPI | 1598743817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 47444) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2004-0686) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-12-16 |