| NPI | 1821056656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD450995) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 0062568) |
| 207L00000X Anesthesiology (Licence: FL ME109438) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-07-17 |