| NPI | 1861421430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD220099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42245) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-07-16 |