| NPI | 1144602566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD201015) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125067568) |
| 207L00000X Anesthesiology (Licence: CA A163090) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-10-12 |