| NPI | 1730319591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0078494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT196094) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2014-11-17 |