| NPI | 1053309963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD422453) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: PA MD422453) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2019-03-08 |