| NPI | 1699157297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A161534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125067544) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-08-06 |