| NPI | 1669600193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8976) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036134599) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-03-22 |