| NPI | 1619173259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-7613) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.126693) |
| 207L00000X Anesthesiology (Licence: KY TP118) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2015-11-23 |