| NPI | 1841429412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-46901) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301108879) |
| 207L00000X Anesthesiology (Licence: WI 56250-20) | |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2021-02-22 |