| NPI | 1982706297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME117961) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036097210) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-01-14 |