| NPI | 1841226222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010003248) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 363124673) |
| 207L00000X Anesthesiology (Licence: IL 336.086016) | |
| 207L00000X Anesthesiology (Licence: IL 136.124673) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-12-30 |