| NPI | 1871512210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 61124) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD035744) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-01-13 |