| NPI | 1891876975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD15277) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 11425) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-01-19 |