| NPI | 1073743480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0053803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407163) |
| 207L00000X Anesthesiology (Licence: IL 036-167202) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 5101020261) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CO DR.0053803) | |
| 207L00000X Anesthesiology (Licence: KS 9407163) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-01-31 |