| NPI | 1942370150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D64216) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD34860) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-11-01 |