| NPI | 1447601851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME175875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-148036) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-09-19 |