| NPI | 1184891475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036128306) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.013307) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-11-20 |