| NPI | 1255750527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161675) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101264879) |
| 207L00000X Anesthesiology (Licence: IL 036.160196) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-10-24 |