NPI | 1760961312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125074909) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA R-11367) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2019-07-04 |