| NPI | 1447630272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CO DR.0062377) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.067997) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2020-07-14 |