| NPI | 1346878147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS20840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036170343) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-08-19 |