| NPI | 1235494295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 65154-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036138041) |
| 207L00000X Anesthesiology (Licence: IL 125061829) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2018-08-27 |