| NPI | 1811377716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD475601) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D88847) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.149445) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-02-13 |