| NPI | 1235299827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD430929) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT182491) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-02-03 |