| NPI | 1417480617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 309600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.071458) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-07-18 |