| NPI | 1588858336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5367) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125049721) |
| 207L00000X Anesthesiology (Licence: IL 036121340) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2020-06-17 |