| NPI | 1154304012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3017) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 334077) |
| 207L00000X Anesthesiology (Licence: IL 036168943) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2026-01-09 |