| NPI | 1881689826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D41716) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101046714) |
| 207L00000X Anesthesiology (Licence: DC MD19158) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-02-19 |