| NPI | 1346582749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A156615) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125063564) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2019-07-17 |