| NPI | 1922460070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 22525) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.068768) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 22525) | |
| 207R00000X Internal Medicine (Licence: IL 036152379) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2022-07-11 |