| NPI | 1720353816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 141421) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036136754) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2016-06-22 |