| NPI | 1023245511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA L-239967) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD448427) |
| 207L00000X Anesthesiology (Licence: PA MT203419) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.138618) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-09-16 |