| NPI | 1992720833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D91014) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY FL001) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-07-07 |