| NPI | 1942342530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D70685) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD T1124) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-06-03 |