| NPI | 1235578485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME MD21879) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 85747-20) |
| 207L00000X Anesthesiology (Licence: IL 125063751) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-11-25 |