| NPI | 1841235009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0065441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101234439) |
| 207L00000X Anesthesiology (Licence: DC MD040830) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-01-22 |