| NPI | 1356786214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-148377) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 63609) |
| 207L00000X Anesthesiology (Licence: IA MD-44184) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-09-11 |