| NPI | 1255464657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 50331) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036094846) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-13 |