| NPI | 1427375583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD476134) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME124814) |
| 207L00000X Anesthesiology (Licence: IL 036.158416) | |
| 174400000X Specialist | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-02-16 |