| NPI | 1215467477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD25556) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125071289) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-05-26 |