| NPI | 1457346082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 101102) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.117725) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2025-04-08 |