| NPI | 1265592547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 11602) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 0000000000000) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2012-07-12 |