NPI | 1174765747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 53873) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036129266) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TN 53873) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 53873) | |
Enumeration Date | 2009-03-29 |
Last Update Date | 2019-07-16 |