| NPI | 1598993636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 92107) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD447605) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2024-09-06 |