NPI | 1124280052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 54185) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-051421) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2025-07-10 |