| NPI | 1811378268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T9741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125067357) |
| 207L00000X Anesthesiology (Licence: MD D86600) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-09-07 |