| NPI | 1851431548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 246140) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 036-116512) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 246140) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-09-29 |