| NPI | 1962453233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 11831) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036103683) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-02-22 |