| NPI | 1851684609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD454244) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT199405) |
| 207L00000X Anesthesiology (Licence: WI 4590) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2024-11-12 |