| NPI | 1356758148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 68512) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125064498) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2023-12-18 |