NPI | 1104079862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101281968) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-054163) |
207L00000X Anesthesiology (Licence: IL 036133427) | |
207P00000X Emergency Medicine (Licence: TN 125054163) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-05-06 |