| NPI | 1205809142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD15656E) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD015656E) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2010-03-25 |