| NPI | 1245294479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-02472) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036115880) |
| 207L00000X Anesthesiology (Licence: UT 5094692-1205) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-01-26 |