| NPI | 1346771474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME165278) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.070814) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-08-27 |