| NPI | 1427498849 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-55061) | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MS 25926) | 
| Enumeration Date | 2013-06-29 | 
| Last Update Date | 2025-08-29 |