| NPI | 1902924244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD439646) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT186038) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-03-07 |