| NPI | 1750380820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.119299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101058963) |
| 207L00000X Anesthesiology (Licence: CA C54882) | |
| 207L00000X Anesthesiology (Licence: MD D0067950) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-10-08 |