| NPI | 1922272376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD157613) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD29096) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2025-04-23 |