| NPI | 1437775772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME165101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.077160) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-12-05 |