NPI | 1952609828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 036141920) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A10702) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2023-06-22 |