| NPI | 1023241734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME154212) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125055716) |
| 207L00000X Anesthesiology (Licence: LA MD.206107) | |
| 207L00000X Anesthesiology (Licence: CA A142337) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2023-01-31 |