| NPI | 1356459515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G73101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036094757) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2017-02-03 |