| NPI | 1003991969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35075695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 36085851) |
| 207L00000X Anesthesiology (Licence: IN 01049823A) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |