| NPI | 1912130014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8676) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125056371) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-04-28 |