| NPI | 1659511202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.144123) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS015922) |
| 207L00000X Anesthesiology (Licence: NY 288918) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-07-21 |