| NPI | 1609032226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.097832) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-050753) |
| 207L00000X Anesthesiology (Licence: FL ME107303) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2018-10-15 |