| NPI | 1669906756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 70601) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD204301) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-08-09 |