| NPI | 1710305131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036147091) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301510705) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-04-22 |