| NPI | 1073034781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KS 04-46329) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125071520) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-28 |