| NPI | 1891917712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD442367) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT190365) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-10-21 |