| NPI | 1518462209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-49846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 65844) |
| 207R00000X Internal Medicine (Licence: MN 29243) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-08-22 |