| NPI | 1952760829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM DO2023-1033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051292899) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-10-13 |