| NPI | 1346227667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD485880) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2005-0539) |
| 207L00000X Anesthesiology (Licence: IL 036119577) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-12-31 |