| NPI | 1326143330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0051195) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC md21802) |
| 207L00000X Anesthesiology (Licence: VA 01010555952) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-03-06 |