| NPI | 1467784785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301103343) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-052-993) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2014-12-15 |