| NPI | 1679569198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 104008) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.117610) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-04-05 |