| NPI | 1720170665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX 48184) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 036147128) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: IL 036147128) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX 48184) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-02-19 |