| NPI | 1063444271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME89153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD436059) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD436059) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-08-20 |