| NPI | 1043437304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MT MED-PHYS-LIC-92033) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036-111989) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-02-21 |