| NPI | 1801242888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.069761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 74199-20) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-10-04 |