| NPI | 1992729750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD 64211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28508) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-08-08 |