| NPI | 1396371290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 342119) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125075946) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-06-20 |