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 |