| NPI | 1831210897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101248324) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0067666) |
| 207L00000X Anesthesiology (Licence: DC MD039750) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-02-04 |