| NPI | 1932494838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301119141) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.135990) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-07-31 |