| NPI | 1760874416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178546) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.072022) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-08-01 |