| NPI | 1447416805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 263566) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.053162) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2017-04-26 |