| NPI | 1750598009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036157411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD432973) |
| 207L00000X Anesthesiology (Licence: CA A95883) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD432973) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-08-11 |