| NPI | 1518193242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036176605) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-40728) |
| 207L00000X Anesthesiology (Licence: NC 156888) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2026-02-17 |