| NPI | 1205003159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A104697) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-116172) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2023-01-23 |