| NPI | 1699931204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A113867) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125053940) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2012-12-19 |