| NPI | 1871539957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G171356) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036088157) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-08-05 |