| NPI | 1194340224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT221627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT221627) |
| 207L00000X Anesthesiology (Licence: PA MT221627) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-07-01 |