| NPI | 1073516043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-51473) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101051437) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2023-09-19 |