| NPI | 1558984393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-53199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11835) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-09-17 |