| NPI | 1568615029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125053136) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-04-22 |