| NPI | 1477738383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-01377) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 002715) |
| 207L00000X Anesthesiology (Licence: IL 036147402) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2026-08-12 |