| NPI | 1841258498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD22566) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 203952) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-10-22 |