| NPI | 1346327723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 61840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036117321) |
| 207R00000X Internal Medicine (Licence: WI 45078-020) | |
| 207L00000X Anesthesiology (Licence: IA MD-46069) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-05-31 |