| NPI | 1376688879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A11479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036117286) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-12-15 |