| NPI | 1689822397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD457545) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 22469) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2016-09-23 |