| NPI | 1700140167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 77826) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.061025) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2024-08-02 |