| NPI | 1518918655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD044571E) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: PA MD-044571-E) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD044571E) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-07-21 |