| NPI | 1356596316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA R-10805) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125053025) |
| 207L00000X Anesthesiology (Licence: TX N9716) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2022-07-21 |