| NPI | 1518593466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167356) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036175313) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2025-08-07 |