| NPI | 1154300523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-02368) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036079758) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-09-12 |