| NPI | 1285052266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD471599) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10582800) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD471599) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-09-23 |