| NPI | 1851884365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0100585) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT215183) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-07-18 |