| NPI | 1841720034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-49361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 7947) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-06-06 |