| NPI | 1093758302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD064521L) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD064521L) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-10-23 |