| NPI | 1992021034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 39061) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2014-0308) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-04-05 |