| NPI | 1649792839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101023654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036160150) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-01-16 |