| NPI | 1629232558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301104153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-119595) |
| 207L00000X Anesthesiology (Licence: WI 3826) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2024-02-06 |