| NPI | 1366417354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME84668) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M0263) |
| 207L00000X Anesthesiology (Licence: NH 19217) | |
| 207L00000X Anesthesiology (Licence: GA 047836) | |
| 207L00000X Anesthesiology (Licence: IL TEM-COV19-27684) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-12-20 |