| NPI | 1356632053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA OS019414) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB10371600) |
| 207L00000X Anesthesiology (Licence: PA OS019414) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MB10371600) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2020-05-26 |