| NPI | 1174853477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A131369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125064938) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-04-10 |