| NPI | 1740430578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M9656) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125051427) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2018-06-27 |