| NPI | 1659345882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101248420) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD034718) |
| 207L00000X Anesthesiology (Licence: MD D68952) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-12-07 |