| NPI | 1629239728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD445679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192711) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2014-07-18 |