| NPI | 1639551245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 008411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036153249) |
| 207R00000X Internal Medicine (Licence: MI 5101022042) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-02-07 |