| NPI | 1801138425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 67210) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125064338) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 67210) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-06-17 |