| NPI | 1649650474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 7726) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125066967) |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2016-06-29 |