NPI | 1225210594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301091109) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301091109) |
207L00000X Anesthesiology (Licence: IL 036-127388) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036-127388) | |
Enumeration Date | 2007-11-28 |
Last Update Date | 2025-09-23 |