| NPI | 1558821637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME162260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-170776) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-08-22 |