| NPI | 1053598060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A 10238) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-049095) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-05-20 |