| NPI | 1134415565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301099149) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-140990) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-07-29 |