| NPI | 1770561862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60147420) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-107873) |
| 207L00000X Anesthesiology (Licence: TX M3363) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2024-09-27 |