| NPI | 1851738538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 95972) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-062581) |
| 207L00000X Anesthesiology (Licence: PA md460786) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 95972) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2024-01-29 |