| NPI | 1619926409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.117031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD0000039070) |
| 207L00000X Anesthesiology (Licence: SC 26008) | |
| 207L00000X Anesthesiology (Licence: NC 200100783) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-09-16 |