NPI | 1518491463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-161326) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036161326) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2025-02-20 |