| NPI | 1104903582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2002013888) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 114971) |
| 207L00000X Anesthesiology (Licence: IL 036170092) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO 2002013888) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-05-31 |