| NPI | 1598975260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036120588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 269817) |
| 207L00000X Anesthesiology (Licence: OR MD211382) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-07-24 |