| NPI | 1902846207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D37884) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MD D0037884) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-09-23 |