| 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 |