| NPI | 1144781717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 13366194-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.073601) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-01-27 |