| NPI | 1386969848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 70252) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036150017) |
| 207L00000X Anesthesiology (Licence: NY 276686) | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2022-04-29 |