| NPI | 1770010050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A171411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125070131) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2021-06-15 |