| NPI | 1407858806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036136948) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 34605) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2021-06-04 |