| NPI | 1578745493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 58.001751) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036160779) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-09-16 |