| NPI | 1073779682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD445262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.127627) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2013-11-13 |