| NPI | 1023503653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.071973) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-12-26 |