| NPI | 1184690745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD420467) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 36287) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-01-03 |