| NPI | 1467633057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-01388) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-116004) |
| 207L00000X Anesthesiology (Licence: KY 42940) | |
| 207L00000X Anesthesiology (Licence: PA MD443008) | |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2024-09-23 |