| NPI | 1376599480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO MDR9G17) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036077965) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-03-07 |