| NPI | 1821144510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D36183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD16775) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-12-19 |