| NPI | 1952489403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C55847) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036130568) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-06-16 |