| NPI | 1336430743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD190784) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036137213) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 51763) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD190784) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2020-03-20 |