| NPI | 1629655667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 81789) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.173179) |
| 207L00000X Anesthesiology (Licence: IL 036173179) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-08-06 |