| NPI | 1609998723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME138949) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036074205) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-12-17 |