| NPI | 1760703417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD447100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD447100) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2026-06-24 |