| NPI | 1750534913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 64650) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036121827) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TN 64650) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-03-31 |