| NPI | 1700065992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 201000297) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036123260) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2016-12-20 |