| NPI | 1851418594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D68273) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT187358) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-10-29 |