| NPI | 1578793279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A107682) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 036.120954) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-08-30 |