| NPI | 1710936786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-51375) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 17414) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-06-16 |