| NPI | 1962865089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 295461) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036154871) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-03-24 |