| NPI | 1538423231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-46291) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0081900) |
| 207R00000X Internal Medicine (Licence: PA MT-201576) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-12-15 |