| NPI | 1417901596 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036111622)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01073191A)  | 
| 207L00000X Anesthesiology (Licence: WI 415)  | |
| Enumeration Date | 2006-05-21 | 
| Last Update Date | 2024-10-15 |