| NPI | 1881031474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 101260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036143414) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 125063129) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2024-08-29 |