| NPI | 1851711931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 37052) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.37052) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-06-28 |