| NPI | 1891908729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 65479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD438982) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-26 |