| NPI | 1598729238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL MD.47206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.025672) |
| 207L00000X Anesthesiology (Licence: PA MD428923) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-10-14 |