| NPI | 1932725660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0100477) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020018984) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-03-23 |