| NPI | 1528685534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A202311) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.077177) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-02-09 |