| NPI | 1861507402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 60028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-095801) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-03-18 |