NPI | 1962559732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036120731) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 222519) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2021-12-10 |