| NPI | 1174145817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-52987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11783) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2025-04-17 |