| NPI | 1821099433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD474619) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0037564) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2024-10-03 |