| NPI | 1952621971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0382) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036148277) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX Q0382) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036148277) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-06-16 |