| NPI | 1316919376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0060523) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0015505) |
| 207L00000X Anesthesiology (Licence: IN 01092181A) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-10-01 |