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 |