| NPI | 1770644338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD435828) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT185683) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-12-09 |