| NPI | 1235249384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2002017790) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036148287) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-08-15 |