| NPI | 1669492682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0044257)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD m79030)  | 
| Enumeration Date | 2006-07-20 | 
| Last Update Date | 2025-07-28 |