| NPI | 1720607567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0073740) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.076245) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-08-05 |