| NPI | 1902432909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0073043) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.075603) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-07-02 |