| NPI | 1710433479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A187034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.169425) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-09-02 |