| NPI | 1710946850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 22201) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-124855) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2025-04-09 |