| NPI | 1871019182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165987) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35134464) |
| 208600000X Surgery (Licence: CA NA) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-02-29 |