| NPI | 1487975496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD454575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197646) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-07-20 |