| NPI | 1275064701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-48500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-10829) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2024-02-05 |