| NPI | 1184611527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD417129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD417129) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-11-12 |