| NPI | 1245396621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD438577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188003) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-07-10 |