| NPI | 1063482883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0101549) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2011-01829) |
| 207L00000X Anesthesiology (Licence: AL 23851) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-10-11 |