| NPI | 1750647962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2020041115) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD044098) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-07-25 |