| NPI | 1801868237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H38515) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102201159) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-08-16 |