| NPI | 1922037118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023043671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-55547) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2025-07-31 |