| NPI | 1811085202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036079168) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 41045) |
| 207L00000X Anesthesiology (Licence: MO 2003027199) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |