| NPI | 1558334680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD420878) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D95872) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-02-12 |