| NPI | 1174043277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 336.1196254) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 41120) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-08-01 |