NPI | 1700197084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.204417) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036123724) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2015-03-10 |