| NPI | 1407068620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T7365) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 44198) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036116346) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-03-08 |