| NPI | 1801025317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A126649) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125057185) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2019-05-09 |