| NPI | 1447755681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61293821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-174458) |
| 207L00000X Anesthesiology (Licence: NY 330339) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-07-29 |