| NPI | 1891722856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD034204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101248705) |
| 207L00000X Anesthesiology (Licence: CA 70090) | |
| 207L00000X Anesthesiology (Licence: MD D0078086) | |
| 207L00000X Anesthesiology (Licence: MI 4301106486) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-02-26 |