| NPI | 1992026199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301106821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125058826) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-06-24 |