| NPI | 1164721429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD482851) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.138367) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2023-10-19 |