| NPI | 1225014087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD029099E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036147710) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-02-23 |