| NPI | 1992842801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-55227) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036151342) |
| 207L00000X Anesthesiology (Licence: PA MD430589) | |
| 207L00000X Anesthesiology (Licence: OK 37480) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-06-26 |