| NPI | 1336350503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 239758) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD437746) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2017-07-13 |