| NPI | 1942658026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 283980) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.068993) |
| 207R00000X Internal Medicine (Licence: IL 125.068993) | |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2020-09-17 |