| NPI | 1548755663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD480606) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125069825) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2024-02-07 |