| NPI | 1104211598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301501220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036144130) |
| 207L00000X Anesthesiology (Licence: IN 01081978A) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-01-14 |