| NPI | 1740546688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 76127) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125062964) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-12-16 |