| NPI | 1700297934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165632) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD467465) |
| 207L00000X Anesthesiology (Licence: WI 73980) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 73980) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NH LT4414) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-03-06 |