| NPI | 1689848368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 250895) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A106247) |
| 207L00000X Anesthesiology (Licence: IL 036.129060) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2012-10-25 |