| NPI | 1184810681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5315050506) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036109630) |
| 207L00000X Anesthesiology (Licence: IA 37551) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-10-03 |