| NPI | 1144203282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036095628) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101279596) |
| 207L00000X Anesthesiology (Licence: WI 33783) | |
| 207L00000X Anesthesiology (Licence: CA A61007) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2026-04-16 |