| NPI | 1831136076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D59380) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D59380) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-08-02 |