| NPI | 1538197579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME110671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336074675) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-112974) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-11-29 |