| NPI | 1740257492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD438244) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 10473) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-09-11 |