| NPI | 1558353359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0061354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011001461) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2024-08-29 |