| NPI | 1407899933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036079254) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35 086862) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-06-21 |