| NPI | 1730508276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301114408) |
| 207L00000X Anesthesiology (Licence: IL 036-157892) | |
| 207L00000X Anesthesiology (Licence: OR MD181156) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-06-12 |