| NPI | 1851897441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D94211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 70185) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-10-30 |