| NPI | 1841583150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-42526) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-9135) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2015-06-10 |