| NPI | 1447245048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-171983) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L2448) |
| 207L00000X Anesthesiology (Licence: WI 4032) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-10-09 |