| NPI | 1932761483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT219417) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036172109) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-10-07 |