| NPI | 1265494116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0078135) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-132005) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2025-02-28 |