| NPI | 1538367065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 008457) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036129529) |
| 207L00000X Anesthesiology (Licence: IA DO-04470) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-01-15 |