| NPI | 1790041382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A148273) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036140543) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-03-13 |