| NPI | 1265506638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 29072) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-082439) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-12-24 |