| NPI | 1710390182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-44856) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2015014104) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-02-26 |