NPI | 1851772396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101272097) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125066925) |
207L00000X Anesthesiology (Licence: IL 036.155395) | |
207L00000X Anesthesiology (Licence: VA 0101272097) | |
Enumeration Date | 2015-06-10 |
Last Update Date | 2021-09-27 |