| NPI | 1356442313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO MD 2002012314) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD21097) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-11-02 |