| NPI | 1053390971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2004035414) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036092021) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-03-13 |