| NPI | 1891013512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS13443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-059239) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-11-08 |