| NPI | 1922265818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036135954) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57-011425) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-10-03 |