| NPI | 1669492682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0044257) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD33547) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-06-02 |