| NPI | 1619961448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD426305) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 219981) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2024-06-11 |