| NPI | 1902193840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q9286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125059234) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-03-15 |