| NPI | 1013238674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2015022430) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125058375) |
| 207L00000X Anesthesiology (Licence: KS 04-38221) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-08-25 |