| NPI | 1245551555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-43362) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.125384) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2016-09-22 |