| NPI | 1285608646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101253149) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0036712) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2026-02-02 |