| NPI | 1184850299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD448351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT195549) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD448351) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD448351) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2017-03-08 |