| NPI | 1558855064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101277111) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.071887) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-05-24 |