| NPI | 1043248024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD425437) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0062883) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-02-05 |