| NPI | 1285920918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 83517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125059763) |
| 207L00000X Anesthesiology (Licence: AZ 58862) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-07-23 |