| NPI | 1003011966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 64206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.127038) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-07-15 |