| NPI | 1699827550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD438375) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT187920) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-05-26 |