| NPI | 1245489533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 265163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125051418) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-09-15 |