| NPI | 1982620530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D80354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-051264) |
| 207L00000X Anesthesiology (Licence: GA 070468) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-03-09 |