| NPI | 1023129483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 34185) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036159952) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-02 |