| NPI | 1417945379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.142717) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 43730020) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2025-07-28 |