| NPI | 1316268774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-37884) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125058593) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-06-22 |