| NPI | 1912047085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.149788) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101102755) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-01-13 |