| NPI | 1669539987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2000157476) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036134088) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-08-09 |