| NPI | 1942201884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0044736) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101271297) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2025-12-18 |