| NPI | 1477554004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD474082) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0033197) |
| 207L00000X Anesthesiology (Licence: MD D0053197) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2023-11-06 |