| NPI | 1255910725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 26437) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 1255910725) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2025-06-13 |