| NPI | 1750442422 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA c171447) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036122789) |
| 207L00000X Anesthesiology (Licence: PA MT186102) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036122789) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-10-10 |