| NPI | 1780811729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.612895) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-056930) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-12-15 |