| NPI | 1255580940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 12020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125054424) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2012-05-30 |