| NPI | 1043290125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IA 32843) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.093412) |
| 207L00000X Anesthesiology (Licence: IN 01078992A) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2018-01-12 |