| NPI | 1801868948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD027454E) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD027454E) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-11-08 |