| NPI | 1649473729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.122284) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS013538) |
| 207L00000X Anesthesiology (Licence: WI 53011-21) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-09-03 |