| NPI | 1699885889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N4994) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036106880) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-04-23 |