| NPI | 1275799959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60338113) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.129207) |
| 207L00000X Anesthesiology (Licence: PA MT202599) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-07-15 |