| NPI | 1134196140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD035601E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD-035601E) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-03-08 |