| NPI | 1033590666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD201119) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125066661) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-10-22 |