| NPI | 1629413232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 6350420) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD183998) |
| 207L00000X Anesthesiology (Licence: IL 036146246) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-12-30 |