| NPI | 1932189727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD419897) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C10007133) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10007133) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-07-31 |