| NPI | 1245625177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.136154) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 1250677333) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-05-16 |