| NPI | 1669834446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 009015) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.069065) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-09-02 |