| NPI | 1215042049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C174835) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036103341) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-01-09 |