| NPI | 1003905183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 005038) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036082979) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-11-22 |