| NPI | 1134656697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS19128) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125073217) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-08-26 |