| NPI | 1033181631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301055000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-54523) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-07-21 |