| NPI | 1770745366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-48393) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-8438) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-09-30 |