| NPI | 1083977953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125062039) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2022-07-21 |