| NPI | 1427520493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 123925) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD AC004133) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2022-02-28 |