| NPI | 1922065457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D42132) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 42132) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-10-10 |