| NPI | 1699822577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0073384) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 41379) |
| 207L00000X Anesthesiology (Licence: DC MD037549) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-07-31 |