| NPI | 1508244450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301505791) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-47360) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-09-27 |