| NPI | 1588835979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-119217) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-07-02 |