| NPI | 1437133626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9801655) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-52027) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-10-22 |