| NPI | 1982920211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301107186) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036132861) |
| 207L00000X Anesthesiology (Licence: WI 71729) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-01-04 |