| NPI | 1578536751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD041224E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0061573) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-07-08 |