| NPI | 1659573020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 28688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036118318) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-09-19 |