| NPI | 1992266217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD481667) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT221691) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-08-14 |