| NPI | 1336598275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101272849) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125069287) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2021-11-08 |