| NPI | 1144424888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C160302) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125051871) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01070296A) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-09-23 |