| NPI | 1871569491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.139453) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 23915) |
| 207L00000X Anesthesiology (Licence: FL ME122415) | |
| 207L00000X Anesthesiology (Licence: PA md424159) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-09-20 |