| NPI | 1740252568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 15893) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036084259) |
| 207L00000X Anesthesiology (Licence: IN 01059936A) | |
| 207L00000X Anesthesiology (Licence: NY 153449) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-02-09 |