| NPI | 1114103934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME117649) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036171794) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25IA12546900) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2025-02-28 |