| NPI | 1396127775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT221684) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125067645) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-06-23 |