| NPI | 1134546443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2021-01627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036141442) |
| 207L00000X Anesthesiology (Licence: MA 274962) | |
| 207L00000X Anesthesiology (Licence: OH 35.136233) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-09-29 |