| NPI | 1922325661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.150236) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077068A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207L00000X Anesthesiology (Licence: FL ME123764) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-11-07 |