| NPI | 1427544345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H0101653) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101024117) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-08-15 |