| NPI | 1770516742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD32844) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101288081) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2026-04-09 |