| NPI | 1023503653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD224900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.071973) |
| 207L00000X Anesthesiology (Licence: CA A178173) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-07-23 |