| NPI | 1639320187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD037806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125049123) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-07-27 |