| NPI | 1629158472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS21514) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-086579) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-05-05 |