| NPI | 1861981672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL MD.50987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D94666) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-09-08 |