| NPI | 1639320591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 75221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.121728) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2021-11-23 |