| NPI | 1639532435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036164739) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0092392) |
| 207L00000X Anesthesiology (Licence: NJ 25MA10828300) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-09-20 |