| NPI | 1528273588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-52874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 48852) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2024-08-07 |