| NPI | 1861976748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.147754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.072519) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-09-26 |