| NPI | 1093331647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61668342) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.077104) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.170375) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-05-16 |