| NPI | 1275695322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-5427) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036111238) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-01-07 |