| NPI | 1922395433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME128620) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 36172188) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-10-15 |