| NPI | 1922010933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000590) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 209-000590) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-12-05 |