| NPI | 1689649972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD032383E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD032383E) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-06-03 |