| NPI | 1366442485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD483381) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 21652) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2024-04-25 |