| NPI | 1639332786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A121564) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125055507) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2026-05-06 |