| NPI | 1356452056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101280516) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 112221) |
| 207L00000X Anesthesiology (Licence: MD D0099332) | |
| 207L00000X Anesthesiology (Licence: IL 036089774) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-11-06 |