| NPI | 1649285321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165998) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 2502-320) |
| 207L00000X Anesthesiology (Licence: CA A80273) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-12-06 |