| NPI | 1285607747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-34041) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 26087) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-08-18 |