| NPI | 1871827147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 75855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 54353-020) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036123329) | |
| 207L00000X Anesthesiology (Licence: IL 036123329) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q2657) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 68136) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2024-09-26 |