| NPI | 1861662660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 34846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036112159) |
| 207L00000X Anesthesiology (Licence: MN 71592) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2023-10-30 |