| NPI | 1285015388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD482081) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2019-01276) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-09-05 |