| NPI | 1134368137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 267465-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036127494) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2018-12-04 |