| NPI | 1467688853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P9994) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-056323) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2021-12-15 |