| NPI | 1851917587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125077304) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351046102) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2021-06-08 |