| NPI | 1164877460 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-44518) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125069329) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-09-08 |