| NPI | 1619146933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0117181) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 52659-020) |
| 207L00000X Anesthesiology (Licence: IL 036120019) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-05-22 |