| NPI | 1235576653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A155339) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125063023) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-11-09 |