| NPI | 1124523238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-167316) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH APP-000142781) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-12-21 |