| NPI | 1972706638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0077726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME 017546) |
| 207L00000X Anesthesiology (Licence: VA 0101254872) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-06-10 |