| NPI | 1881835213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3009) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.135351) |
| 207L00000X Anesthesiology (Licence: WA MD61513824) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61513824) | |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2024-08-15 |