| NPI | 1871675579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MD D66729) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD430073) |
| 207L00000X Anesthesiology (Licence: NJ 25MA08539300) | |
| 207L00000X Anesthesiology (Licence: IL 036115215) | |
| 207L00000X Anesthesiology (Licence: MD D66729) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-07-09 |