| NPI | 1346694411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A173171) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.069752) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-10-05 |