| NPI | 1821451493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165383) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61128067) |
| 207L00000X Anesthesiology (Licence: IL 125.069750) | |
| 207L00000X Anesthesiology (Licence: OR MD199872) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD199872) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036165383) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA MD61128067) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-07-31 |