| NPI | 1497251391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.017307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.072052) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-10-29 |