| NPI | 1467488023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C169308) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA C169308) |
| 207L00000X Anesthesiology (Licence: IL 036113030) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-12-16 |