| NPI | 1588959076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0139999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A148344) |
| 207L00000X Anesthesiology (Licence: AZ 56982) | |
| 207L00000X Anesthesiology (Licence: IL 036151782) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-07-21 |