| NPI | 1194793471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-158862) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 218742) |
| 207L00000X Anesthesiology (Licence: VA 0101242067) | |
| 207L00000X Anesthesiology (Licence: FL ME124687) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-10-16 |