| NPI | 1528095239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.133182) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036105020) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2018-04-12 |