| NPI | 1235423328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME125229) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.138471) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-04-20 |