| NPI | 1508885203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0063695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD466830) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-12-05 |