| NPI | 1932362878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 35050) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125052623) |
| 207L00000X Anesthesiology (Licence: IA 39550) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2012-07-18 |