| NPI | 1083682686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C51200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036053624) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-06-10 |