| NPI | 1558926915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 199623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125077948) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-07-09 |