| NPI | 1932148590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 42985) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.19805) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-12-05 |