| NPI | 1669051843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 79132) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.078369) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-07-08 |