| NPI | 1699933341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD451531) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 242704) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-12-29 |