| NPI | 1356684120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101025168) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.063258) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 5101025168) | |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2022-07-21 |