| NPI | 1174753503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-43081) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE TEP 6565) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2016-08-30 |