| NPI | 1881956936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036144692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN# 17724) |
| 207L00000X Anesthesiology (Licence: FL ME126947) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-01-20 |