| NPI | 1215258629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 47505) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125054286) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-03-07 |