| NPI | 1417994559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO MD114623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036119032) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-05-31 |