| NPI | 1417263302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD457612) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD23242) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2024-06-24 |