| NPI | 1942257217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D84043) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 28780) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-07-21 |