| NPI | 1760961312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME164957) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125074909) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME164957) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA R-11367) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-09-05 |