| NPI | 1033613799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2020016811) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.178349) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-02-17 |