| NPI | 1497197990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.156568) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 945352) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2021-06-27 |