| NPI | 1548624489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2021006428) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036151991) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-01-10 |