| NPI | 1235171109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0055356) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0055356) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-07-12 |