| NPI | 1487097747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD478357) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 18119) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-04-11 |