| NPI | 1932175528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 25529) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA DS025489L) |
| 207L00000X Anesthesiology (Licence: PA MD058203L) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-07-21 |