| NPI | 1386967933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.097513) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036124193) | 
| Enumeration Date | 2010-03-10 | 
| Last Update Date | 2022-04-14 |