| NPI | 1831146646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD0000020770) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD463080) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-01-16 |