| NPI | 1861471443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-51255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0051868) |
| 207L00000X Anesthesiology (Licence: WI 2152) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2023-05-31 |