| NPI | 1699719609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME105004) |
| Additional Taxonomies | 174400000X Specialist (Licence: 4301407639) |
| 207L00000X Anesthesiology (Licence: IL 036124304) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-03-19 |