| NPI | 1386835767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD479390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D66135) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2025-09-22 |