| NPI | 1275671349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD T1719) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0069283) |
| 207L00000X Anesthesiology (Licence: FL ME178357) | |
| 207L00000X Anesthesiology (Licence: PA MD440938) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2026-01-16 |