| NPI | 1922392414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-49969) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 262978) |
| 207L00000X Anesthesiology (Licence: TN MD56030) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 262978) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD0000056030) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-09-12 |