| NPI | 1104079862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036133427) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 101705) |
| 207P00000X Emergency Medicine (Licence: TN 125054163) | |
| 207L00000X Anesthesiology (Licence: VA 0101281968) | |
| 207L00000X Anesthesiology (Licence: IL 125-054163) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-11-05 |