| NPI | 1851371199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 41832) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036169075) |
| 207L00000X Anesthesiology (Licence: VA 0101285094) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2025-06-16 |