| NPI | 1457333015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD469639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0054505) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-05-30 |