| NPI | 1396972147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036166594) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 41050) |
| 207L00000X Anesthesiology (Licence: NJ 25MA09424700) | |
| 207L00000X Anesthesiology (Licence: IA R8758) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-03-26 |