| NPI | 1528226404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101024571) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036120956) |
| 207L00000X Anesthesiology (Licence: SC 1228) | |
| 207L00000X Anesthesiology (Licence: KY C4626) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2025-11-03 |