| NPI | 1841233632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD420515) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A79251) |
| 207L00000X Anesthesiology (Licence: NJ 25MA09216900) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-02-17 |