| NPI | 1982849394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0082316) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101262138) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2024-09-17 |