| NPI | 1073562724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036154969) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M8929) |
| 207L00000X Anesthesiology (Licence: OK 23725) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-09-20 |