| NPI | 1215107347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME109583) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 13130) |
| 207L00000X Anesthesiology (Licence: IL 036117472) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036117472) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-01-30 |