| NPI | 1750379889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2017040127) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036070640) |
| 207L00000X Anesthesiology (Licence: MO 2017040127) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-01-12 |