| NPI | 1326579095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0094348) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 69446) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-03-14 |