| NPI | 1568049583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0103322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1025453) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-05-04 |