| NPI | 1174866750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 323745-01) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10312800) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA10312800) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.155727) | |
| 207L00000X Anesthesiology (Licence: IL 036.155727) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2024-04-30 |