| NPI | 1588009203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 19466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT203773) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2022-12-02 |