| NPI | 1841726643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-55095) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A147363) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-05-29 |