| NPI | 1043324254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-075027) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-075027) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-075027) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-03-02 |