| NPI | 1265880322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 39579) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125069841) |
| 208600000X Surgery (Licence: SC LL39579) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-10-13 |