| NPI | 1053768689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 77120) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036156756) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2025-02-25 |