| NPI | 1437398187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 60298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2012011171) |
| 207L00000X Anesthesiology (Licence: IL 036-132811) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 036-132811) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: WI 60298) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2024-07-29 |