| NPI | 1134514763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 70636-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036151734) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2026-02-19 |