| NPI | 1265847966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS16111) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-065689) |
| 207L00000X Anesthesiology (Licence: MA 274800) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-01-11 |