| NPI | 1003847427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME102274) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 36110210) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-10-13 |