| NPI | 1245262401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036045692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G21779) |
| 207L00000X Anesthesiology (Licence: FL ME63662) | |
| 207L00000X Anesthesiology (Licence: WA MD00015200) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |