| NPI | 1619437571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-52688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.073675) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-06-18 |