| NPI | 1861475790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 38841-020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-090463) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-05-01 |