| NPI | 1124339734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010020282) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036138391) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2026-08-18 |