| NPI | 1326493636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC MD39655) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL39655) |
| 207L00000X Anesthesiology (Licence: SC 39655) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-12-19 |