| NPI | 1124513700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U4792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125073345) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-09-14 |