| NPI | 1295026151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD466749) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2016-00398) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-05-19 |