| NPI | 1831364546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 6625571-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036172198) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-10-08 |