| NPI | 1275825168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX R4347) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125061886) |
| 207L00000X Anesthesiology (Licence: TX R4347) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2022-03-24 |