| NPI | 1255582631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD464506) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD19694) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2022-01-25 |