| NPI | 1699777185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME110160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036098731) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2011-11-23 |